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General NPI Number Information
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NPI Number | 1750350583
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES OF WASHINGTON, DC PC
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4910 MASSACHUSETTS AVE NW SUITE 21
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City | WASHINGTON
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State | DC
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Zip | 20016-4300
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Country | US
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Telephone | 202-686-6700
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Fax | 202-537-1442
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Provider Business Mailing Address
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Address Line | 4910 MASSACHUSETTS AVE NW SUITE 21
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City | WASHINGTON
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State | DC
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Zip | 20016-4300
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Country | US
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Telephone | 202-686-6700
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Fax | 202-537-1442
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. ADRIAN J SPENCER
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Credential |
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Telephone | 202-686-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 722219
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License Number State | DC
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